Vonny Ngantung in Portland - Orthodontics And Dentofacial Orthopedics

Vonny Ngantung - NPI 1760502546

Vonny Ngantung is a Orthodontics And Dentofacial Orthopedics in Portland, Oregon. Vonny Ngantung practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Vonny Ngantung is 1760502546. The last update date is 2007-07-08.

Vonny Ngantung's current location address is 1585 Sw Marlow Ave, Portland, Oregon. You can contact this provider via phone number 5032971687. The mailing address for Vonny Ngantung is 1585 Sw Marlow Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Vonny Ngantung
Address 1585 Sw Marlow Ave, Portland, Oregon
Phone Number 5032971687
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1760502546
Provider Enumeration Date 2007-03-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1585 Sw Marlow Ave
City Portland
State Oregon (OR)
Post Code 972255176
Phone Number 5032971687
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No D8294
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Vonny Ngantung

What is the unique identifier code issued to Vonny Ngantung by the Centers for Medicare & Medicaid Services?

The Vonny Ngantung has been assigned the NPI (National Provider Identifier) 1760502546. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Vonny Ngantung is physically located?

The Vonny Ngantung is situated at the following address: 1585 Sw Marlow Ave, Portland, OR 972255176.

What is the Vonny Ngantung's specialty and taxonomy code?

The Vonny Ngantung's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.

On what date was the 1760502546 assigned to Vonny Ngantung?

The Vonny Ngantung was issued its 1760502546 on 2007-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Vonny Ngantung most recently updated or revised?

The details related to Vonny Ngantung, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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